05D1066750 CLIA NUMBER - ROYAL HEALTH HOMECARE AGENCY INC

Laboratory Demographics

CLIA Number: 05D1066750

Facility Name: ROYAL HEALTH HOMECARE AGENCY INC

Facility Address:
1272 CENTER COURT DR, STE 204
COVINA, CA
ZIP 91724
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Facility Phone Number: 818 507-5300

Facility Type: Home Health Agency

Certificate Type: Waiver

NPI Number: 1639210727

Taxonomy: 251E00000X - Home Health
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

CLIA Record

Field Name	Field Value
CLIA Number	05D1066750
LAB Type	Home Health Agency
Facility Name	ROYAL HEALTH HOMECARE AGENCY INC
Street	1272 CENTER COURT DR, STE 204
City	COVINA
State	CA
ZIP	91724
Phone	818 507-5300
CertificateType	4
CertificateEffectiveDate	4/2/2023
CertificateExpirationDate	4/1/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024